CARDINAL MEDICAL GROUP INC. NPI 1619021300

NPI Information

NPI: 1619021300
Provider Name: CARDINAL MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
1401 E 4TH AVE
STE 103
HIALEAH, FL
ZIP 33010
Phone: (305) 889-0557
Get Directions

CARDINAL MEDICAL GROUP, INC. is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Hialeah, FL. CARDINAL MEDICAL GROUP, INC. NPI is 1619021300. The provider is registered as an organization entity type.

The provider's business location address is:

1401 E 4TH AVE
STE 103
HIALEAH, FL
ZIP 33010-504
Phone: (305) 889-0557
Fax: (305) 889-5989

The provider's authorized official is Tulio Quirantes .
The authorized official title is President and has the following contact phone number (305) 889-0557.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 3/27/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	104565	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA	PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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